| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
18,220 |
16,397 |
$7.74M |
| 99284 |
|
25,901 |
23,800 |
$7.10M |
| 99283 |
|
19,044 |
17,991 |
$4.71M |
| 74177 |
|
5,493 |
5,162 |
$4.01M |
| 74176 |
|
3,284 |
3,052 |
$1.64M |
| 99282 |
|
5,839 |
5,538 |
$868K |
| 70450 |
|
5,468 |
5,086 |
$826K |
| 71275 |
|
1,554 |
1,459 |
$487K |
| 99291 |
|
352 |
322 |
$412K |
| 72125 |
|
1,200 |
1,121 |
$411K |
| G0378 |
Hospital observation per hr |
4,296 |
2,195 |
$154K |
| 96365 |
|
5,976 |
5,055 |
$138K |
| 99213 |
|
984 |
855 |
$136K |
| 70496 |
|
168 |
157 |
$113K |
| 99212 |
|
1,024 |
759 |
$103K |
| 96366 |
|
1,390 |
1,029 |
$78K |
| 99214 |
|
256 |
209 |
$47K |
| U0003 |
Cov-19 amp prb hgh thruput |
887 |
860 |
$44K |
| 93971 |
|
793 |
730 |
$42K |
| 71046 |
|
5,518 |
5,211 |
$38K |
| 93005 |
|
16,976 |
13,597 |
$35K |
| 80053 |
|
32,903 |
28,173 |
$27K |
| 76705 |
|
2,353 |
2,172 |
$18K |
| 99203 |
|
141 |
137 |
$16K |
| 80320 |
|
3,594 |
3,325 |
$14K |
| 76856 |
|
1,084 |
1,015 |
$13K |
| 96361 |
|
5,320 |
4,654 |
$13K |
| 96374 |
|
19,028 |
16,836 |
$12K |
| 80307 |
|
4,470 |
4,056 |
$11K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
17 |
12 |
$9K |
| 74018 |
|
1,409 |
1,342 |
$8K |
| 73030 |
|
1,080 |
959 |
$7K |
| 96360 |
|
1,786 |
1,532 |
$7K |
| 70498 |
|
193 |
184 |
$6K |
| 96375 |
|
15,590 |
12,973 |
$6K |
| 73562 |
|
1,316 |
1,164 |
$6K |
| 88305 |
|
1,100 |
774 |
$6K |
| 43235 |
|
12 |
12 |
$6K |
| 71045 |
|
12,243 |
11,174 |
$6K |
| 73130 |
|
915 |
837 |
$6K |
| 87636 |
|
5,085 |
4,890 |
$6K |
| 87631 |
|
1,762 |
1,717 |
$6K |
| 93976 |
|
2,052 |
1,900 |
$5K |
| 96376 |
|
5,068 |
3,620 |
$4K |
| 72100 |
|
393 |
369 |
$4K |
| 73630 |
|
998 |
939 |
$4K |
| 80048 |
|
5,183 |
4,356 |
$3K |
| 73610 |
|
1,044 |
966 |
$3K |
| 94640 |
|
2,523 |
1,936 |
$3K |
| J3490 |
Drugs unclassified injection |
20,111 |
10,033 |
$3K |
| 85025 |
|
35,485 |
30,319 |
$3K |
| 96372 |
|
5,991 |
5,059 |
$2K |
| 70486 |
|
28 |
27 |
$2K |
| 73110 |
|
379 |
343 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
12,850 |
11,448 |
$2K |
| 87086 |
|
7,427 |
6,872 |
$1K |
| 83690 |
|
13,017 |
11,652 |
$1K |
| 93306 |
|
16 |
14 |
$973.46 |
| 81025 |
|
7,973 |
7,458 |
$965.86 |
| 87081 |
|
804 |
776 |
$909.49 |
| 84484 |
|
10,537 |
7,101 |
$898.90 |
| 71260 |
|
19 |
15 |
$853.43 |
| 81001 |
|
14,221 |
12,836 |
$758.22 |
| 82947 |
|
8,862 |
5,475 |
$731.08 |
| 76817 |
|
376 |
327 |
$730.06 |
| 83605 |
|
5,361 |
4,247 |
$615.97 |
| 84443 |
|
2,704 |
2,493 |
$576.19 |
| 87186 |
|
1,839 |
1,654 |
$533.61 |
| J0696 |
Ceftriaxone sodium injection |
3,200 |
2,742 |
$524.67 |
| 87635 |
|
1,221 |
1,183 |
$485.77 |
| 84703 |
|
2,955 |
2,815 |
$484.96 |
| 76815 |
|
314 |
292 |
$462.71 |
| J2704 |
Inj, propofol, 10 mg |
4,139 |
3,769 |
$456.57 |
| M0243 |
Casirivi and imdevi inj |
16 |
15 |
$309.60 |
| 84702 |
|
2,989 |
2,733 |
$308.98 |
| 83880 |
|
1,550 |
1,401 |
$291.80 |
| J2270 |
Morphine sulfate injection |
8,224 |
6,519 |
$291.48 |
| 73502 |
|
41 |
39 |
$291.22 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,324 |
7,750 |
$291.01 |
| J8499 |
Oral prescrip drug non chemo |
18,908 |
9,747 |
$278.19 |
| 83735 |
|
5,549 |
4,681 |
$252.19 |
| 87651 |
|
507 |
501 |
$245.34 |
| 85055 |
|
157 |
134 |
$244.15 |
| 87040 |
|
4,053 |
2,053 |
$238.44 |
| 87088 |
|
5,363 |
4,797 |
$229.76 |
| 87077 |
|
2,399 |
2,063 |
$227.78 |
| J7030 |
Normal saline solution infus |
8,273 |
7,095 |
$223.02 |
| 71101 |
|
16 |
13 |
$202.87 |
| 87804 |
|
2,304 |
1,120 |
$189.86 |
| 85379 |
|
1,470 |
1,402 |
$188.91 |
| 87880 |
|
1,593 |
1,528 |
$171.33 |
| J2405 |
Ondansetron hcl injection |
14,368 |
12,291 |
$152.79 |
| J8597 |
Antiemetic drug oral nos |
3,350 |
3,029 |
$135.22 |
| 86769 |
|
276 |
272 |
$128.88 |
| 81003 |
|
7,601 |
7,055 |
$120.68 |
| 76801 |
|
779 |
688 |
$111.71 |
| J1100 |
Dexamethasone sodium phos |
5,316 |
4,959 |
$105.78 |
| J1200 |
Diphenhydramine hcl injectio |
3,585 |
3,177 |
$96.19 |
| 85610 |
|
4,651 |
4,000 |
$92.66 |
| 90715 |
|
246 |
237 |
$91.41 |
| 85027 |
|
2,877 |
2,335 |
$88.47 |
| 86850 |
|
1,671 |
1,518 |
$86.12 |
| 12011 |
|
25 |
25 |
$84.29 |
| 82550 |
|
1,102 |
976 |
$83.09 |
| J2930 |
Methylprednisolone injection |
835 |
719 |
$74.20 |
| 90471 |
|
305 |
292 |
$55.56 |
| J3475 |
Inj magnesium sulfate |
1,040 |
928 |
$52.52 |
| 87491 |
|
150 |
142 |
$51.29 |
| 87591 |
|
153 |
144 |
$51.29 |
| A9270 |
Non-covered item or service |
11,625 |
2,879 |
$51.03 |
| J2543 |
Piperacillin/tazobactam |
373 |
196 |
$48.22 |
| 87807 |
|
404 |
388 |
$47.91 |
| J3010 |
Fentanyl citrate injection |
5,004 |
4,377 |
$46.97 |
| 86901 |
|
2,270 |
2,061 |
$46.03 |
| J7120 |
Ringers lactate infusion |
3,467 |
2,895 |
$43.54 |
| 86900 |
|
1,823 |
1,668 |
$39.26 |
| 86140 |
|
1,659 |
1,473 |
$36.67 |
| 82803 |
|
158 |
132 |
$23.54 |
| 85730 |
|
1,445 |
1,303 |
$22.91 |
| J2765 |
Metoclopramide hcl injection |
2,436 |
2,202 |
$21.32 |
| J1815 |
Insulin injection |
585 |
336 |
$20.65 |
| J2060 |
Lorazepam injection |
1,593 |
1,350 |
$18.53 |
| 96367 |
|
288 |
250 |
$13.97 |
| J0780 |
Prochlorperazine injection |
310 |
289 |
$13.82 |
| 84100 |
|
469 |
371 |
$12.79 |
| J2550 |
Promethazine hcl injection |
1,149 |
999 |
$12.23 |
| 12001 |
|
119 |
112 |
$12.00 |
| J1170 |
Hydromorphone injection |
2,322 |
1,866 |
$11.76 |
| J1790 |
Droperidol injection |
498 |
451 |
$9.78 |
| 82010 |
|
40 |
37 |
$9.58 |
| 82565 |
|
172 |
151 |
$5.93 |
| J1630 |
Haloperidol injection |
91 |
78 |
$5.62 |
| J2250 |
Inj midazolam hydrochloride |
3,378 |
3,125 |
$5.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
557 |
501 |
$4.09 |
| J7040 |
Normal saline solution infus |
550 |
524 |
$3.43 |
| J7999 |
Compounded drug, noc |
749 |
704 |
$2.48 |
| J2175 |
Meperidine hydrochl /100 mg |
814 |
746 |
$0.24 |
| S0028 |
Injection, famotidine, 20 mg |
422 |
336 |
$0.00 |
| 84156 |
|
73 |
63 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
36 |
28 |
$0.00 |
| 94664 |
|
46 |
43 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
266 |
175 |
$0.00 |
| 84550 |
|
78 |
65 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
26 |
$0.00 |
| 87210 |
|
322 |
301 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
118 |
102 |
$0.00 |
| 73590 |
|
15 |
14 |
$0.00 |
| 97161 |
|
42 |
37 |
$0.00 |
| 97116 |
|
19 |
12 |
$0.00 |
| 84460 |
|
44 |
40 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
13 |
12 |
$0.00 |
| 84112 |
|
21 |
13 |
$0.00 |
| 97530 |
|
35 |
13 |
$0.00 |
| 84450 |
|
29 |
26 |
$0.00 |
| 84145 |
|
25 |
24 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
17 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
64 |
54 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
40 |
38 |
$0.00 |
| 82570 |
|
16 |
12 |
$0.00 |
| 10060 |
|
16 |
15 |
$0.00 |
| 84439 |
|
37 |
33 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| 84520 |
|
39 |
36 |
$0.00 |
| 80329 |
|
660 |
556 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
439 |
404 |
$0.00 |
| J8540 |
Oral dexamethasone |
728 |
525 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,194 |
1,902 |
$0.00 |
| 88304 |
|
203 |
183 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
370 |
333 |
$0.00 |
| 94760 |
|
149 |
108 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
44 |
40 |
$0.00 |
| J3480 |
Inj potassium chloride |
71 |
52 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
77 |
59 |
$0.00 |
| 76830 |
|
251 |
235 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
14 |
13 |
$0.00 |
| 84132 |
|
41 |
36 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
138 |
131 |
$0.00 |
| 94644 |
|
69 |
68 |
$0.00 |
| 83036 |
|
14 |
12 |
$0.00 |
| J0500 |
Dicyclomine injection |
32 |
30 |
$0.00 |
| 36410 |
|
14 |
13 |
$0.00 |
| 87070 |
|
32 |
13 |
$0.00 |
| 87205 |
|
33 |
14 |
$0.00 |
| 85652 |
|
59 |
52 |
$0.00 |
| 85018 |
|
35 |
25 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
101 |
95 |
$0.00 |
| 76819 |
|
18 |
13 |
$0.00 |
| A9585 |
Gadobutrol injection |
29 |
26 |
$0.00 |
| J2360 |
Orphenadrine injection |
14 |
14 |
$0.00 |